The patient safety group recognized less than 140 hospitals. Leah Binder of the Leapfrog Group talks about the honors and the qualities of the top hospitals.
When The Leapfrog Group considers candidates for its annual Top Hospital Awards, the organization considers a host of different metrics in evaluating the best providers.
Leah Binder, president and CEO of The Leapfrog Group, says the organization also considers one key factor.
“We start with the premise that we will select hospitals where we would send our loved ones, and we therefore set a very high standard for what we expect in terms of quality and safety in those hospitals,” Binder tells Chief Healthcare Executive®.
Today, the Leapfrog Group, a nonprofit organization focused on patient safety, named 134 recipients of Top Hospital Awards. The organization recognized general hospitals, pediatric hospitals, teaching hospitals, and rural hospitals.
The organization also announced Top Ambulatory Surgery Center Awards, which were given to 31 recipients.
The Leapfrog Group is known for its hospital safety grades, which are issued twice a year. So it’s likely no surprise that in issuing its Top Hospital Awards, the group looks at key safety metrics, including lower infection rates, maternal health care, and the prevention of medication errors.
“Patient safety, of course, is a core of Leapfrog's work. So patient safety is a fundamental principle for any hospital that achieves our top hospital designation,” Binder says.
(See part of our conversation with Leah Binder. The story continues below.)
Communication and billing
In addition, the Leapfrog Group also looks at how well hospitals are communicating with patients in order to help them decide on courses of treatment.
“That's a fairly new standard on the LeapFrog survey,” Binder says. “Do they manage consent in a way that is the most accessible to the patient and best for the patient?”
The group also examines “ethical billing practices” in selecting its top hospitals, she says.
In examining the billing processes, Binder says, “Do they adhere to ethical billing practices that assure that patients are not unfairly sued or pestered when they can't make resolutions of their obligations in a humane and respectful way?”
Binder says the group looks at billing policies and if hospitals do a good job in communicating the costs of treatment, as well as steering them to financial assistance programs or informing them of the availability of charity care.
“It's a true quality measure,” she says. “We feel strongly that, from the patient point of view, being treated with respect around payment will have an enormous impact on your outcome … in terms of your health.”
What sets them apart
The Leapfrog Group recognizes larger hospitals and smaller providers in rural areas. But Binder says there are some common traits among this year’s award winners.
First, Binder says, “They are relentlessly self-critical.”
“They never are satisfied with how they've done,” Binder says. “They're constantly, constantly pushing for higher and higher and higher. It's never, ever good enough, which I find encouraging when I hear it.”
Hospitals are also relentlessly focused on improving their safety measures.
“It also shows the level of respect that they have for their patients, that nothing is ever good enough for their patients, and that's why they are constantly, constantly trying to get better,” Binder says. “And that's what it takes for safety. I mean, it literally takes that level of relentlessness to be a truly safe institution, because you can't let your foot off the gas when it's safety.”
As far as lessons for other hospitals, Binder cites the value of transparency. “I think most top hospitals that we encounter are more transparent than they have to be,” she says.
“They're transparent to the public, and they're willing to be transparent, even when the story they have to tell may not be the greatest, most perfect story of performance,” she adds. “They're willing to tell all of where they lag and where they're doing well, and that that drives change. That ultimately galvanizes change. It brings the whole team together, brings everyone together with their eyes toward getting better.”
Recognizing standouts
The group recognized 15 rural hospitals with Top Hospital Awards, and Binder says those facilities deserve praise.
“I think that we've been very encouraged by what we've seen in some rural hospitals, and I also think it's really important for us to shine a light on them,” Binder says.
Rural hospitals get attention for their challenges, with many struggling to stay afloat financially. But Binder says the top hospitals are shining.
“Many of them really deserve a spotlight. They have done some extraordinary things. They are major contributors to their communities in really powerful ways, and we want to make sure that they're recognized when they do a great job,” Binder says.
Eight children’s hospitals also received Top Hospital Awards. In looking at the top pediatric facilities, Binder says the group looks closely at the patient experience.
“These hospitals have demonstrated their excellence in part because their patients say so, and that patients and their families say so,” Binder says.
She says she hopes other children’s hospitals share their patient experience data and vie for top hospital awards.
Parents are hungry for that information if their children need help, Binder says.
“I think if there's any kind of hospital that people will actually “shop for,” or people will go to another state to get into the right hospital, they'll do it for their children,” Binder says.
The Leapfrog Group honored 36 general hospitals and 75 teaching hospitals with Top Hospital Awards.
Here’s the full list of award winners. For full profiles of the hospitals, visit The Leapfrog Group’s website.
Top Children’s Hospitals
AdventHealth for Children
Johns Hopkins All Children’s Hospital
Nicklaus Children’s Hospital
Orlando Health Arnold Palmer Hospital for Children
Wolfson Children’s Hospital
UPMC Children’s Hospital of Pittsburgh
Monroe Carrell Jr. Children’s Hospital at Vanderbilt
Top Teaching Hospitals
Chandler Regional Medical Center
Mercy Gilbert Medical Center
Kaiser Foundation Hospital - Antioch
Kaiser Foundation Hospital - Baldwin Park Medical Center
Kaiser Foundation Hospital - San Jose
Kaiser Foundation Hospital - South San Francisco
Kaiser Permanente Fontana Medical Center
Kaiser Permanente Ontario Medical Center
Kaiser Permanente Orange County-Irvine Medical Center
Kaiser Permanente Riverside Medical Center
Kaiser Permanente San Diego Medical Center
Loma Linda University Medical Center East Campus
Methodist Hospital of Sacramento
Sharp Mary Birch Hospital for Women and Newborns
Sharp Memorial Hospital
Stanford Health Care
UCSF Health - Mission Bay
UCSF Helen Diller Medical Center at Parnassus Heights
UCSF Medical Center at Mount Zion
USC Norris Cancer Hospital
Hartford Hospital
MedStar Washington Hospital Center
AdventHealth Orlando
AdventHealth Winter Park
Lakewood Ranch Medical Center
Larkin Community Hospital
Orlando Health – Health Central Hospital
Orlando Health South Lake Hospital
Orlando Health- Orlando Regional Medical Center
Orlando Health Winnie Palmer Hospital for Women and Babies
Loretto Hospital
Rush University Medical Center
University of Chicago Medical Center
MaineHealth Maine Medical Center Portland
MedStar Good Samaritan Hospital
MedStar St. Mary's Hospital
Brigham and Women's Faulkner Hospital
Brigham And Women's Hospital
Massachusetts General Hospital
Newton-Wellesley Hospital
Trinity Health Livingston Hospital
Mercy Hospital South
Mercy Hospital Springfield
Renown South Meadows Medical Center
Bergen New Bridge Medical Center
Englewood Hospital and Medical Center
Saint Michael's Medical Center
St. Luke's Warren Campus
Heart Hospital of New Mexico
Northern Dutchess Hospital
Northwell Lenox Hill Hospital
St. Francis Hospital Heart Center
Syosset Hospital
Novant Health Forsyth Medical Center
Novant Health Huntersville Medical Center
Novant Health Presbyterian Medical Center
AHS Southcrest Hospital, LLC dba Hillcrest Hospital South
Hillcrest Medical Center
St. Luke's Easton Campus
St. Luke's Hospital - Allentown Campus
St. Luke's University Hospital - Bethlehem Campus
Prisma Health Baptist Hospital
Prisma Health Greenville Memorial Hospital
Prisma Health Hillcrest Hospital
Prisma Health Laurens County Hospital
Prisma Health Patewood Hospital
Baylor Scott White Heart and Vascular Hospital Dallas
Seton Medical Center Harker Heights
UT Southwestern’s William. P. Clements Jr. University Hospital
UT Southwestern’s Zale Lipshy Pavilion
Inova Fair Oaks Hospital
Inova Fairfax Hospital
Inova Loudoun Hospital
Warren Memorial Hospital
St. Clare Hospital
Top General Hospitals
Bassett Army Community Hospital
Kaiser Foundation Hospital - Manteca
Kaiser Foundation Hospital - Modesto
Kaiser Foundation Hospital - San Rafael
Mercy Hospital of Folsom
Montclair Hospital Medical Center
Parkview Community Hospital Medical Center
Sutter Davis Hospital
Sutter Maternity and Surgery Center of Santa Cruz
AdventHealth Castle Rock
Windham Community Memorial Hospital
AdventHealth Altamonte Springs
AdventHealth Apopka
AdventHealth DeLand
AdventHealth New Smyrna Beach
AdventHealth Murray
Provident Hospital of Cook County
Addison Gilbert Hospital
Mercy Hospital Jefferson
North Vista Hospital
Catholic Health System - Kenmore Mercy Hospital
White Plains Hospital
Hoke Healthcare
Iredell Memorial Hospital
Novant Health Kernersville Medical Center
Novant Health Matthews Medical Center
Mount Carmel New Albany Surgical Hospital
Independence Health System Frick Hospital
Penn State Health Lancaster Medical Center
UPMC Carlisle
Carolina Pines Regional Medical Center
Roper St. Francis Healthcare - Berkeley Hospital
Roper St. Francis Healthcare - Bon Secours St. Francis Hospital
Roper St. Francis Healthcare - Mount Pleasant Hospital
Dallas Medical Center
Fauquier Health
Top Rural Hospitals
Sierra Nevada Memorial Hospital
St. Elizabeth Community Hospital
Beebe Specialty Surgical Hospital
AdventHealth Wauchula
Bayne-Jones Army Community Hospital
MaineHealth Pen Bay Hospital
FirstHealth Moore Regional Hospital - Hoke
Watauga Medical Center
Coshocton Regional Medical Center
Hillcrest Hospital Pryor
St. Luke's Monroe Campus
Prisma Health Oconee Memorial Hospital
AdventHealth Rollins Brook
UT Health Carthage
UT Health Pittsburg